Individual
MR. GINO JOSEPH AVENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 517-2881
Mailing address
1246 E MAPLE AVE, EL SEGUNDO, CA 90245-3258
(310) 322-2445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20784
CA
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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